Provider Demographics
NPI:1679822803
Name:HATFIELD, RACHEE D (APRNCNP)
Entity Type:Individual
Prefix:
First Name:RACHEE
Middle Name:D
Last Name:HATFIELD
Suffix:
Gender:F
Credentials:APRNCNP
Other - Prefix:
Other - First Name:RACHEE
Other - Middle Name:DANIELLE
Other - Last Name:SARGENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-2657
Mailing Address - Fax:
Practice Address - Street 1:1145 OLENTANGY RIVER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3117
Practice Address - Country:US
Practice Address - Phone:614-293-2657
Practice Address - Fax:614-293-4372
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.13827363L00000X
OHCOA.13827-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0081552Medicaid
OHH182360Medicare PIN